KELLY O SMITH (PA) – Physician Assistant, NPI 1851689467
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for KELLY O SMITH (PA)
47 JOLLEY DR
BLOOMFIELD, CT 060023092
Phone: (860) 243-3020
Fax: (860) 243-3002
Type: Mailing
111 SALEM TPKE STE 7
NORWICH, CT 063607403
Phone: (860) 859-2262
Fax: (860) 859-9819
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,768.
Total Amount is formed as General ($1,768) + Research ($0) + Ownership ($0) = $1,768.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($591).
Total Amount
$1,768
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $591 |
| Janssen Biotech, Inc. | $262 |
| E.R. Squibb & Sons, L.L.C. | $154 |
| Amgen Inc. | $141 |
| Incyte Corporation | $129 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110823000394 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 85 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 50 | 41 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 42 | 40 | $0 |
Insurance plans in this area (ZIP 06002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | VT |
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